Active NPIIndividual provider

Jacqueline Fagan

Speech-Language Pathologist, in Mount Laurel, New Jersey

NPI Number1144174327
Practice location
1015 Briggs RD Ste 150, Mount Laurel, NJ 08054-4114
Fax
—
Last updated
February 24, 2026

Jacqueline Fagan is a Speech-Language Pathologist, based in Mount Laurel, NJ. Jacqueline Fagan practices in Mount Laurel, NJ. The NPI Number for Jacqueline Fagan is 1144174327 and holds a License No. 41YS01319100 (NJ). The current practice location address for Jacqueline Fagan is 1015 Briggs RD Ste 150, Mount Laurel, NJ 08054-4114 and can be reached out via phone at 856-492-1355.

Provider Profile Details

NPI Number
1144174327
Provider Name
Jacqueline Fagan
Provider Entity Type
Individual
Gender
Female
Address
1015 Briggs RD Ste 150, Mount Laurel, NJ 08054-4114
Phone Number
856-492-1355
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
No
Provider Enumeration Date
February 24, 2026
Last Update Date
February 24, 2026
Certification Date
February 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1015 Briggs RD Ste 150
Mount Laurel, NJ 08054-4114
Zip
08054-4114
Phone Number
856-492-1355
Mount Laurel, NJ 08054Get directions →

Provider Business Mailing Address Details

Address
1015 Briggs RD Ste 150
Mount Laurel, NJ 08054-4114
City
Mount Laurel
State
NJ
Zip
08054-4114
Phone Number
856-492-1355

License Information

License Number
41YS01319100
License State
NJ
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Speech-Language Pathologist, providers near Mount Laurel, NJ

View all Speech-Language Pathologist, providers in Mount Laurel →

Frequently Asked Questions

What is the NPI number of Jacqueline Fagan?

The NPI number of Jacqueline Fagan is 1144174327. It was assigned on February 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Fagan?

Jacqueline Fagan is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number 41YS01319100.

Where does Jacqueline Fagan practice?

The practice location is 1015 Briggs RD Ste 150, Mount Laurel, NJ 08054-4114. The office can be reached at 856-492-1355 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144174327 directly on the NPPES registry website.

Browse related providers